Evidence map›Paper›PMID 29246567›Full record

ArticleJournal of nutrition education and behavior2018

The Nutrition Literacy Assessment Instrument is a Valid and Reliable Measure of Nutrition Literacy in Adults with Chronic Disease.

Heather D Gibbs, Edward F Ellerbeck, Byron Gajewski, Chuanwu Zhang, Debra K Sullivan

3 registry-linked trialsAbstract readValidation Study
In one paragraph

Article in Journal of nutrition education and behavior, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 76 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03681925 nacompletednot on this mapstarted 2019, after this paper: background citation

The Effects of Nutrition Literacy Assessment on Patient-Centered Nutrition Education Provided by Dietitians

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2019 to 2020Enrolled95ConditionsHealth Knowledge, Attitudes, PracticeArmsNutrition Literacy Assessment Instrument (NLit)
NCT03978312 terminatednot on this mapstarted 2019, after this paper: background citation

Implications of Nutrition Health Literacy on Accessibility and Engagement With Nutrition Information in Cancer Patients and Their Support Networks

TypeobservationalSponsorNottingham University Hospitals NHS TrustRan2019 to 2020Enrolled58ConditionsCancer, Oncologic Disorders, Haematological Malignancy, Nutrition Aspect of CancerArmsNominal consensus group, Observational cohort (validity and reliability testing)
NCT05211180 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Vida Sana y Completa Trial: Treating Obesity and Food Insecurity Among Latina Women

TypeinterventionalSponsorStanford UniversityRan2022 to 2027Enrolled412ConditionsObesityArmsVida Sana, Vida Sana y Completa
3 · Its place in the literature

Who cites it

76 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  17. A Journey Into School Lunchbox Decision-Making: A Mixed Methods Exploration of Australian Parents.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
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16 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Heather D GibbsDepartment of Dietetics and Nutrition, University of Kansas Medical Center, Kansas City, KS. Electronic address: hgibbs@kumc.edu.
Edward F EllerbeckDepartment of Preventive Medicine, University of Kansas Medical Center, Kansas City, KS.
Byron GajewskiDepartment of Biostatistics, University of Kansas Medical Center, Kansas City, KS.
Chuanwu ZhangDepartment of Biostatistics, University of Kansas Medical Center, Kansas City, KS.
Debra K SullivanDepartment of Dietetics and Nutrition, University of Kansas Medical Center, Kansas City, KS.

Funding

Heartland Institute for Clinical and Translational ResearchUL1TR000001 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI BAROHN, RICHARD J. · 2012 to 2015
$13.0M
Adaptation and Validation of a Nutrition Literacy Assessment InstrumentR03HD081730 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GIBBS, HEATHER · 2014 to 2015
$163k
A Novel Method for Expediting the Development of Patient Reported Outcome MeasuresR03NR013236 · NINR · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GAJEWSKI, BYRON J. · 2014 to 2015
$149k
NCATS NIH HHS UL1 TR000001NICHD NIH HHS R03 HD081730NINR NIH HHS R03 NR013236
6 · The paper itself

Abstract

objectiveTo test the reliability and validity of the Nutrition Literacy Assessment Instrument (NLit) in adult primary care and identify the relationship between nutrition literacy and diet quality.

designThis instrument validation study included a cross-sectional sample participating in up to 2 visits 1 month apart. SETTING/

participantsA total of 429 adults with nutrition-related chronic disease were recruited from clinics and a patient registry affiliated with a Midwestern university medical center.

main outcome measuresNutrition literacy was measured by the NLit, which was composed of 6 subscales: nutrition and health, energy sources in food, food label and numeracy, household food measurement, food groups, and consumer skills. Diet quality was measured by Healthy Eating Index-2010 with nutrient data from Diet History Questionnaire II surveys. ANALYSIS: The researchers measured factor validity and reliability by using binary confirmatory factor analysis; test-retest reliability was measured by Pearson r and the intraclass correlation coefficient, and relationships between nutrition literacy and diet quality were analyzed by linear regression.

resultsThe NLit demonstrated substantial factor validity and reliability (0.97; confidence interval, 0.96-0.98) and test-retest reliability (0.88; confidence interval, 0.85-0.90). Nutrition literacy was the most significant predictor of diet quality (β = .17; multivariate coefficient = 0.10; P < .001).

conclusionsThe NLit is a valid and reliable tool for measuring nutrition literacy in adult primary care patients.

Indexed as

Health LiteracyNutrition AssessmentAdultAgedChronic DiseaseFemaleHumansMaleMiddle AgedReproducibility of ResultsSurveys and Questionnaireschronic diseasehealth literacynutrition literacypatient educationprimary health care

Identifiers

PMID29246567
PMCPMC5845801

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.